- Alameda Health System (San Leandro, CA)
- SLH Case Manager RN, Full Time, Benefited, Days, 8hours, 1.0fteFeatured Job + San Leandro, CA + San Leandro Hospital + SLH Social Services + Full Time - Day + Care ... + FTE:1 + Posted:July 22, 2025 **Summary** **Job Summary:** The SLH Case Manager RN is responsible for providing comprehensive case management services to clients… more
- Select Medical (Dallas, TX)
- …and appointments at the time of discharge. + Obtains insurance authorizations and appeals denials as needed + Works collaboratively with workers comp and ... Institute for Rehabilitation** **Dallas, TX** **Neuro Transitional Rehabilitation Center** **Case Manager (RN, LMSW, PT, OT, SLP)** **Hours: Monday-Friday / 7:30AM -… more
- Children's Hospital Boston (Boston, MA)
- …authorizations for the appropriate level of care for admissions and with post-discharge appeals of payer denials . They identify and implement initiatives to ... 80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care OperationsAutoReqId:80451BRStatus:Part-TimeStandard Hours per… more
- Houston Methodist (The Woodlands, TX)
- …care benefits and post-acute care needs. + Streamlines concurrent insurance denials and/or appeals process, in collaboration with management and ... documentation. Reviews for accuracy and completion. Supports clerical and clinical functions for patients, physicians and staff. Provides administrative assistance,… more
- Alameda Health System (San Leandro, CA)
- SLH Case Manager RN + San Leandro, CA + San Leandro Hospital + SLH Social Services + Part Time - Day + Care Management + $58.74 to $97.91 per hour + Req ... + FTE:0.6 + Posted:July 31, 2025 **Summary** **JOB SUMMARY** The SLH Case Manager RN is responsible for providing comprehensive case management services to clients… more
- Children's Mercy Kansas City (Kansas City, MO)
- …necessity review functions utilizing InterQual and/or MCG screening guidelines, and clinical denials / appeals oversight. Participates in department and ... One of the following: American Case Management, Certified Case Manager required upon hire + Employees must obtain American...within 730 days + Employees must obtain Certified Case Manager or equivalent within 730 days + Refer to… more
- Beth Israel Lahey Health (Burlington, MA)
- …Manages UM department in the context of other Revenue Cycle functions such as Denials & Appeals , Patient Access, Authorization Management & review, HIM, Coding & ... and reviews staff schedules and workflows and works closely with other administrative and clinical areas under the direction of the Executive Director and the VP of… more
- Bozeman Health (Bozeman, MT)
- …guidelines for potential patient enrollment. + Communicates and collaborates with Clinical Operations Manager . Knowledge, Skills, and Abilities + Demonstrates ... the claims denial process for insurance carriers and develops an appropriate appeals response as necessary. Minimum Qualifications: Required + High School diploma… more
- Sharp HealthCare (San Diego, CA)
- …care, SNF, home health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care payers. + Experience with InterQual ... departmental guidelines during hospital stay beginning with the admission review of the case manager and reviews with the Case Manager Lead, as needed.Keeps SRS… more
- Corewell Health (Watervliet, MI)
- …for communication with appropriate health insurance companies regarding authorizations and denials . Executes standard work regarding Medicaid appeals / denials ... for obtaining necessary prior authorizations, submitting documentation to appeal denials , and educating clinicians regarding proper documentation for all Inpatient… more
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